Volume 4, Issue 3 (8-1990)                   Med J Islam Repub Iran 1990 | Back to browse issues page


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FAZEL L. MASSIVE GASTROINTESTINAL HEMORRHAGE IN COMBAT CASUALTIES AND TRAUMA VICTIMS SECONDARY TO ARTERIO-VISCERAL FISTULAS. Med J Islam Repub Iran. 1990; 4 (3) :165-172
URL: http://mjiri.iums.ac.ir/article-1-1540-en.html

From the Department of Surgery, Taleghani Medical Center, Shahid Beheshti University of Medical Sciences, Tehran, Islamic Republic of Iran.
Abstract:   (1878 Views)
Massive upper gastrointestinal bleeding is a known complication of advanced sepsis in trauma patients and carries a grave prognosis. However, to our knowledge, an important cause of massive gastrointestinal bleeding, arterio-visceral fistula, has not been discussed in the literature. The most common cause of this unique clinical entity is penetrating high velocity abdominal injuries, although blunt trauma may also be responsible. Due to partial injury of the major intraabdominal vessels, a false aneurysm is formed. The intraabdominal false aneurysm, causing pressure necrosis in the intestinal wall, perforates into the gut with massive hemorrhage. Characteristics of this hemorrhage include its massive and bright red nature, recurrence, and curability with correct diagnosis and appropriate treatment. Our experience with sixteen cases, clinical presentation, diagnostic features and surgical treatment is discussed in this paper.
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Type of Study: Original Research | Subject: Surgery